Geriatric orthopedics is a technical field that focuses on the musculoskeletal health of senior individualities. With age, the threat of musculoskeletal conditions and injuries increases, making senior orthopedics pivotal for this population. Then are some crucial points about senior orthopedics:
Orthopedic treatment for geriatric fracture care is a specialised field that aims to provide optimal care for elderly patients who suffer from bone fractures. Fractures in older adults can have serious consequences, such as increased morbidity, mortality, disability, and loss of independence. Therefore, it is important to have a multidisciplinary approach that involves orthopedic surgeons, geriatricians, nurses, physiotherapists, and social workers. The main goals of orthopedic treatment for seniors are to restore function, prevent complications, and improve quality of life.
Geriatric orthopedic treatment there are some of the common types of fractures that affect older adults are hip fractures, vertebral fractures, wrist fractures, and proximal humerus fractures. Each of these fractures requires a different surgical technique and postoperative management. For example, hip fractures can be treated with internal fixation or arthroplasty, depending on the type and location of the fracture and the patient’s general health and preferences. Vertebral fractures can be treated with conservative measures such as pain medication and bracing, or with minimally invasive procedures such as vertebroplasty or kyphoplasty. Wrist fractures can be treated with cast immobilisation or surgical fixation, depending on the degree of displacement and angulation. Proximal humerus fractures can be treated with sling immobilisation or surgical fixation, depending on the number and location of fracture fragments.
The postoperative care of geriatric fracture patients is crucial to ensure a good outcome and prevent complications such as infection, bleeding, thromboembolism, delirium, pressure ulcers, malnutrition, and osteoporosis. The postoperative care should include pain management, early mobilisation, rehabilitation exercises, nutritional support, fall prevention education, and osteoporosis treatment. The orthopedists with postoperative care should also address the psychosocial needs of the patient and the caregiver, such as providing emotional support, coping strategies, and discharge planning.
One of the factors that affects the success rate of orthopedic surgeons for geriatric fracture care is the timing of surgery. Studies have shown that early surgery (within 24 hours) is associated with lower mortality, shorter hospital stay, fewer complications, and better functional recovery than delayed surgery (more than 24 hours). However, the optimal timing of surgery may vary depending on the type of fracture and the patient’s medical condition. Therefore, it is important to consult with an experienced orthopedic doctor who can assess the patient’s situation and recommend the best course of action.
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